Individual
KIMBERLY MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
403 WALNUT ST, LAWRENCEBURG, IN 47025-2411
(812) 537-2020
Mailing address
403 WALNUT ST, STE A, LAWRENCEBURG, IN 47025-2411
(812) 855-3670
(812) 855-6116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003914
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201300820
—
IN
Enumeration date
07/01/2015
Last updated
07/29/2024
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